|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,441.25 |
$11,441.25 |
$11,441.25 |
$12,003.00
|
|
System sealant biosentry tract
|
$900.00 |
$900.00 |
$900.00 |
$889.35
|
|
T3 (triiodothyronine) free
|
$46.50 |
$46.50 |
$46.50 |
$100.32
|
|
T3 (triiodothyronine) total
|
$46.50 |
$46.50 |
$46.50 |
$93.52
|
|
T4 (thyroxine) free
|
$78.00 |
$78.00 |
$78.00 |
$88.44
|
|
T4 (thyroxine) total
|
$81.00 |
$81.00 |
$81.00 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$2,970.47 |
$2,970.47 |
$2,970.47 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$8,369.30 |
$8,369.30 |
$8,369.30 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$12,682.80 |
$12,682.80 |
$12,682.80 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$874.23 |
$874.23 |
$874.23 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$128.25 |
$128.25 |
$128.25 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,161.23 |
$5,161.23 |
$5,161.23 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$262.50 |
$262.50 |
$262.50 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$25,827.38 |
$25,827.38 |
$25,827.38 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,182.75 |
$1,182.75 |
$1,182.75 |
$1,681.28
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$931.50 |
$931.50 |
$931.50 |
$931.50
|
|
Tavr perq femoral
|
$14,986.50 |
$14,986.50 |
$14,986.50 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$959.55 |
$959.55 |
$959.55 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$357.75 |
$357.75 |
$357.75 |
$200.00
|
|
Tc-99m mebrofenin
|
$1,248.75 |
$1,248.75 |
$1,248.75 |
$157.65
|
|
Tc-99m mertiatide
|
$4,717.50 |
$4,717.50 |
$4,717.50 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$975.00 |
$975.00 |
$975.00 |
$222.60
|
|
Tc-99m sestamibi p study dose
|
$6,044.97 |
$6,044.97 |
$6,044.97 |
$287.20
|
|
Tc-99m sulfur colloid
|
$3,734.48 |
$3,734.48 |
$3,734.48 |
$245.70
|
|
Tcd emboli detect w/inj
|
$585.00 |
$585.00 |
$585.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$697.50 |
$697.50 |
$697.50 |
$475.28
|
|
T cells total count
|
$108.00 |
$108.00 |
$108.00 |
$130.35
|
|
Tee w or without fol w/cont,cong
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$900.00 |
$900.00 |
$900.00 |
$1,692.44
|
|
Telavancin injection
|
$2,428.05 |
$2,428.05 |
$2,428.05 |
$1,191.80
|
|
Telehealth original site facility fee
|
$151.50 |
$151.50 |
$151.50 |
$51.00
|
|
Temozolomide
|
$1,918.68 |
$1,918.68 |
$1,918.68 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$3,438.61 |
$3,438.61 |
$3,438.61 |
$1,867.28
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$29,758.74 |
$29,758.74 |
$29,758.74 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$68.57 |
$68.57 |
$68.57 |
$39.33
|
|
Tert gene targeted seq alys
|
$347.25 |
$347.25 |
$347.25 |
$335.00
|
|
Test for chlorohydrocarbons
|
$225.00 |
$225.00 |
$225.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$544.50 |
$544.50 |
$544.50 |
$842.56
|
|
Testosterone response panel
|
$306.00 |
$306.00 |
$306.00 |
$129.60
|
|
Test stress cardiovascular tracing only
|
$715.50 |
$715.50 |
$715.50 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,939.05 |
$1,939.05 |
$1,939.05 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$96.00 |
$96.00 |
$96.00 |
$108.00
|
|
Therapy activation ipnss
|
$90.00 |
$90.00 |
$90.00 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$114.75 |
$114.75 |
$114.75 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$117.00 |
$117.00 |
$117.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$50.25 |
$50.25 |
$50.25 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$48.00 |
$48.00 |
$48.00 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$208.50 |
$208.50 |
$208.50 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.67 |
$23.67 |
$23.67 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$244.50 |
$244.50 |
$244.50 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$3,142.50 |
$3,142.50 |
$3,142.50 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,995.00 |
$4,995.00 |
$4,995.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,133.75 |
$8,133.75 |
$8,133.75 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,329.25 |
$12,329.25 |
$12,329.25 |
$21,413.60
|
|
Thrombin time
|
$88.50 |
$88.50 |
$88.50 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$58.50 |
$58.50 |
$58.50 |
$61.52
|
|
Thyroglobulin antibody
|
$168.75 |
$168.75 |
$168.75 |
$82.73
|
|
Thyroid mets imag whole body
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$155.25 |
$155.25 |
$155.25 |
$112.67
|
|
Thyroid Ultrasound
|
$736.50 |
$736.50 |
$736.50 |
$588.50
|
|
Thyroid uptake measurement
|
$396.00 |
$396.00 |
$396.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,476.81 |
$7,476.81 |
$7,476.81 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$46.50 |
$46.50 |
$46.50 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$17,629.50 |
$17,629.50 |
$17,629.50 |
$21,249.26
|
|
Tigecycline injection
|
$534.77 |
$534.77 |
$534.77 |
$235.29
|
|
Tilt table study
|
$943.50 |
$943.50 |
$943.50 |
$1,561.82
|
|
Tisagenlecleucel car-pos t
|
$2,194,589.53 |
$2,194,589.53 |
$2,194,589.53 |
$1,780,600.03
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$27,364.47 |
$27,364.47 |
$27,364.47 |
$13,339.20
|
|
Tissue culture placenta
|
$6,844.50 |
$6,844.50 |
$6,844.50 |
$440.50
|
|
Tissue culture skin/biopsy
|
$1,056.75 |
$1,056.75 |
$1,056.75 |
$484.00
|
|
Tissue culture tumor
|
$773.25 |
$773.25 |
$773.25 |
$479.50
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$2,516.07 |
$2,516.07 |
$2,516.07 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$1,679.65 |
$1,679.65 |
$1,679.65 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$6,114.24 |
$6,114.24 |
$6,114.24 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$33.00 |
$33.00 |
$33.00 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$286.24 |
$286.24 |
$286.24 |
$152.36
|
|
Tobramycin non-comp unit
|
$124.14 |
$124.14 |
$124.14 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$88.50 |
$88.50 |
$88.50 |
$119.40
|
|
Toe X-ray (both feet)
|
$186.75 |
$186.75 |
$186.75 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$84.75 |
$84.75 |
$84.75 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$517.65 |
$517.65 |
$517.65 |
$316.84
|
|
Total tau
|
$504.00 |
$504.00 |
$504.00 |
$312.50
|
|
Tot estradiol response panel
|
$324.75 |
$324.75 |
$324.75 |
$140.80
|
|
Toxoplasma antibody igg
|
$51.75 |
$51.75 |
$51.75 |
$91.65
|
|
Toxoplasma antibody igm
|
$93.00 |
$93.00 |
$93.00 |
$88.00
|
|
Tpmt gene com vrnts
|
$782.25 |
$782.25 |
$782.25 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$13,641.34 |
$13,641.34 |
$13,641.34 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,497.75 |
$1,497.75 |
$1,497.75 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$101.25 |
$101.25 |
$101.25 |
$103.20
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$77.65 |
$77.65 |
$77.65 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$338.25 |
$338.25 |
$338.25 |
$678.70
|
|
Transcath biopsy
|
$8,130.75 |
$8,130.75 |
$8,130.75 |
$4,285.93
|
|
Transcath closure of asd
|
$11,268.00 |
$11,268.00 |
$11,268.00 |
$17,088.00
|
|
Transcatheter bx s&i
|
$3,087.75 |
$3,087.75 |
$3,087.75 |
$1,950.85
|
|
Transcath mv repair init prosthesis
|
$11,292.00 |
$11,292.00 |
$11,292.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$5,503.50 |
$5,503.50 |
$5,503.50 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$16,788.75 |
$16,788.75 |
$16,788.75 |
$10,270.00
|
